关注上斜肌麻痹的临床分型及治疗的个性化设计
[Zhonghua yan ke za zhi] Chinese journal of ophthalmology（2017）
Abstract
上斜肌麻痹往往存在多种解剖性变异,随着病程进展常可伴有麻痹泛化,刺激其他眼外肌发生继发性改变,导致上斜肌麻痹的临床表现及手术设计方案呈多样化,因此重视并正确认识上斜肌麻痹的临床发展进程及分型,并综合考量上斜肌发育特征和多种临床因素,合理选择个体化治疗方案非常必要.本文针对上斜肌麻痹的表现类型、影像学特征、临床检查注意点及个性化治疗方案的选择等方面进行讨论,以期为指导临床合理规范开展上斜肌麻痹手术提供参考.
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Key words
Clinical protocols,Eye movements,Individualized medicine,Ophthalmoplegia,Strabismus,Trochlear nerve diseases
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